A 66-year-old woman presents with sudden severe right eye pain, headache, nausea, and vision of halos around lights. Vital signs show BP 158/92 mmHg, HR 102/min, RR 18/min, and temp 37.2°C. Examination reveals a fixed mid-dilated pupil, corneal edema, and markedly elevated intraocular pressure of 58 mmHg. Visual acuity is 20/40 OD. No prior ocular history. Which diagnosis best explains these findings?
- A)Open-angle glaucoma
- B)Acute angle-closure glaucomaGABARITO
- C)Retinal detachment
- D)Central retinal artery occlusion
- E)Viral conjunctivitis
Explicação
Acute angle-closure glaucoma is the correct answer because abrupt obstruction of aqueous humor outflow causes painful red eye, headache, nausea, halos, fixed mid-dilated pupil, and markedly increased intraocular pressure. Ver explicação completa e trilha adaptativa →